Individual provider Active NPI

Melinda Faye Massengale, CT

  • Professional Counselor
  • Lima, OH
National Provider Identifier
1649732264
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
530 S Main St
Lima, OH 45804-1240
Phone
(419) 708-2110
NPI assigned
Apr 2, 2019
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

530 S Main St
Lima, OH 45804-1240

Mailing address

530 S Main St
Lima, OH 45804-1500
Phone (419) 708-2110

Other practice location 1

6629 W Central Ave
Toledo, OH 43617-1098
Phone (419) 517-1758 ext. 1628

Other practice location 2

1425 Starr Ave
Toledo, OH 43605-2456
Phone (419) 936-7576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1649732264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S MAIN ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041500",
            "telephone_number": "419-708-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S MAIN ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041240",
            "telephone_number": "419-708-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6629 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436171098",
            "country_code": "US",
            "telephone_number": "419-517-1758 x1628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Starr Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436052456",
            "country_code": "US",
            "telephone_number": "419-936-7576",
            "fax_number": "419-936-7574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSENGALE",
        "first_name": "MELINDA",
        "middle_name": "FAYE",
        "credential": "CT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.